Individual provider · Type 1 NPI

Lori Quist, MA, LADC

Addiction (Substance Use Disorder) Counselor · Forest Lake, MN

NPI number 1114476660 Active

Practice location

555 W Broadway Ave
Forest Lake, MN 55025-1175

Mailing address

29207 Scenic Dr
Chisago City, MN 55013-8516

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X303276 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114476660

Lori Quist, MA, LADC's National Provider Identifier is 1114476660, issued on Sep 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Forest Lake, MN. The record was last updated on Sep 26, 2016.